Evidence map›Paper›PMID 40290514›Full record

ArticleTherapeutic advances in drug safety2025

Pharmacovigilance study on the reporting frequency of atrial fibrillation with immune checkpoint inhibitors: insights from FDA Adverse Event Reporting System.

Nunzia Balzano, Annamaria Mascolo, Donatella Ruggiero, Concetta Rafaniello, Giuseppe Paolisso, Francesco Rossi, Annalisa Capuano

Abstract read
In one paragraph

Article in Therapeutic advances in drug safety, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Nunzia BalzanoDepartment of Experimental Medicine-Section of Pharmacology "L. Donatelli," University of Campania "Luigi Vanvitelli," Naples, Italy.
Annamaria MascoloDepartment of Experimental Medicine-Section of Pharmacology "L. Donatelli," University of Campania "Luigi Vanvitelli," Via Costantinopoli 16, Naples 80138, Italy.ORCID https://orcid.org/0000-0003-2554-0065
Donatella RuggieroDepartment of Experimental Medicine-Section of Pharmacology "L. Donatelli," University of Campania "Luigi Vanvitelli," Naples, Italy.
Concetta RafanielloDepartment of Experimental Medicine-Section of Pharmacology "L. Donatelli," University of Campania "Luigi Vanvitelli," Naples, Italy.
Giuseppe PaolissoDepartment of Advanced Medical and Surgical Sciences, University of Campania "Luigi Vanvitelli," Naples, Italy.
Francesco RossiDepartment of Experimental Medicine-Section of Pharmacology "L. Donatelli," University of Campania "Luigi Vanvitelli," Naples, Italy.
Annalisa CapuanoDepartment of Experimental Medicine-Section of Pharmacology "L. Donatelli," University of Campania "Luigi Vanvitelli," Naples, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Immune checkpoint inhibitors (ICIs) have transformed cancer therapy but are linked with immune-related adverse events (irAEs), including cardiac events. Objective: This study aims to assess the reporting frequency of atrial fibrillation with ICIs using data from the Food and Drug Administration Adverse Event Reporting System (FAERS). Design: It is an observational, retrospective, pharmacovigilance study. Methods: Individual Case Safety Reports (ICSRs) were retrieved from FAERS up to September 24, 2024. Cases reporting one or more ICIs (atezolizumab, avelumab, cemiplimab, dostarlimab, durvalumab, ipilimumab, nivolumab, pembrolizumab, and tremelimumab) and atrial fibrillation were selected. Disproportionality analyses were performed by applying the reporting odds ratio (ROR) and the Informational Component (IC) with a 95% confidence interval (95% CI). Results: A total of 1228 ICSRs were retrieved, of which 218 (17.75%) were related to combinations of ICIs. Most ICSRs ( Conclusion: ICI-induced atrial fibrillation was serious and had severe outcomes. The anti-CTLA-4 showed a lower likelihood of reporting atrial fibrillation, while higher reporting was found with anti-PD-1 and anti-PD-L1. Further studies are needed to confirm this safety aspect.

Indexed as

arrhythmiasatrial fibrillationimmune checkpoint inhibitorssafety

Identifiers

PMID40290514
PMCPMC12033414

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.